| Maria De Los Santos Women's Health Center | |
|
400 W Allegheny Ave Bldg 5b Philadelphia PA 19133-3639 | |
| (215) 291-2500 | |
| (215) 291-2582 |
| Full Name | Maria De Los Santos Women's Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 W Allegheny Ave Bldg 5b, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Alvan Scott Mcneal (PRESIDENT/CEO) |
| Authorized Official Contact | 2156845344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria De Los Santos Women's Health Center 1412 22 Fairmount Avenue Philadelphia PA 19130-2908 Ph: (215) 684-5344 | Maria De Los Santos Women's Health Center 400 W Allegheny Ave Bldg 5b Philadelphia PA 19133-3639 Ph: (215) 291-2500 |
| NPI Number | 1225536568 |
|---|---|
| Provider Enumeration Date | 01/31/2018 |
| Last Update Date | 09/08/2021 |
| Medicare PECOS PAC ID | 8426967175 |
|---|---|
| Medicare Enrollment ID | O20180626002062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225536568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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